Billing

Remedi SeniorCare offers facilities the tools needed to reduce or eliminate paper invoicing and proactively monitor and manage pharmacy billing.

Automated Claims Management (ACM)

Remedi SeniorCare’s Automated Claims Management software makes the process of managing Medicare Part D prior authorizations and formulary compliance smoother and easier. The system offers:

• Automated claim resolution tracking
• Automated outstanding non-covered claims report
• Automated creation of CMS STANDARD Prior Authorization forms
• Suggested alternatives to non-formulary medications
• Automated claim resubmission to detect successful prior authorizations and formulary coverage
• Facility notification regarding unresolved issues

Additionally, a trained Remedi claims management technician is assigned to each facility to manage Part D, Medicaid and insurance issues.

eBilling

Billing information can be provided as a PDF, Excel spreadsheet or a custom data file to integrate into facility systems. Questions? Use the online messaging center to communicate directly with your billing specialist.

Credit and Returns

Remedi offers facilities a simple and straight-forward credit and return system. Remedi barcode scans all returned medications to accurately and quickly issue appropriate credits. Retrieve a report of returned medication credits online and by simply barcode scanning returned products at the facility, including a reconciliation report to account for each of your returns.

Non-Covered Medication Alerts

Avoid unnecessary medication charges. Remedi SeniorCare will alert you when the pharmacy receives a prescription for a medication that is not covered by your resident’s Part D or insurance formulary.